Shannon Christine Doty, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44926 Issued in CA

Practice address

1618 S Breezy Meadow Dr
Sacramento, CA 95834-2497

Phone

(855) 936-8423

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD
• Wellmind Online Ca Licensed Clinical Social Worker Prof Corp

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1447871272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1891821112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 S BREEZY MEADOW DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342497",
            "telephone_number": "408-318-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 S BREEZY MEADOW DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342497",
            "telephone_number": "855-936-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9343 Tech Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262592",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafaya Annette Dostystallworth, LMFT
• Marian Dote
• Jacqueline Claire Dotson, LCSW
• Kathy Lee Dotson
• Amanda Kathryn Taylor Doty
• Mania Deldar Doucette
• Paul Robert Doucot, DPT, CSCS
• Mariam Dougan Gabisi
• Adam P Dougherty, MPH
• Colten Dougherty, DPM

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.